PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
INTEGRATED ACTIVITY FLAG:
This Abstinence and Be Faithful (AB) activity forms part of CompreCare's CHAMPs (Coordinated HIV/AIDS Management Programs) Initiative and relates to the CHAMPs Orphans and Vulnerable Children (#7563) program.
SUMMARY:
By training faith and community-based leaders as well as youth leaders in a value-based Abstinence and Be Faithful (AB) prevention program called "Choose Life", CompreCare and its prevention partner, HospiVision, will empower the leaders to implement the AB program in their various constituencies. The emphasis area of the intervention is training as well as community mobilization. Primary target populations to be reached include faith-based organizations (FBOs), non-governmental organizations (NGOs) and community leaders, volunteers, caregivers of people living with HIV and AIDS, people living with HIV, children and youth, orphans and vulnerable children.
BACKGROUND:
CompreCare is a South African NGO, undertaking HIV and AIDS prevention and care activities under a multi-partner initiative called the CHAMPs Initiative. CompreCare's partner in the AB program is HospiVision, a FBO involved in spiritual care, counseling and training. HospiVision is part of a network of FBOs involved in the prevention of HIV and AIDS by involving churches in the Tshwane (Greater Pretoria) metropolitan area, in Gauteng. The prevention program will strengthen value-based AB messages in faith-based and community networks, with the goal of changing individual, social and community norms. This will lead to reduced at risk behaviors and strengthen stable family relationships thereby reducing the HIV infection rate in the target communities.
The program is accredited by the Powell Centre at the University of South Africa (UNISA) and Transforming Tshwane, an ecumenical faith-based initiative focusing on networking and community mobilization in Tshwane. This program is conducted in support of the Tshwane local government's HIV/AIDS strategy which is in line with that of the National Department of Health (NDOH). HospiVision is also accredited by the NDOH. The Christian AIDS Bureau for Southern Africa has cooperated in the development of the training program and has provided support in the Western Cape. These partnerships and linkages will contribute largely to the sustainability of the program.
This activity builds on the success achieved during the first 10 months of the program during which 374 leaders were trained, 19,974 people were reached and an estimated 540,000 people have already been reached through the mass media program by Radio Pulpit. CompreCare and its prevention partner, HospiVision have been funded by PEPFAR since 2005.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: Human Capacity Development
The "Choose life" program is a value-based AB training program for faith, NGO, community and youth leaders who are targeted and identified through existing networks. "Choose Life" is an experiential basic (three days) and advanced (five days) accredited training program. The program focuses on two value frameworks ("the golden rule" and Ubuntu "being through community") as well as six central spiritual values (respect, responsibility, integrity, fairness, love and service) and enhancing the life skills of: decision-making, assertiveness and negotiation. A trained facilitator conducts a workshop with a group of (maximum) twenty participants. Capacity building is done through a master trainer and mentor training program for selected facilitators. "Choose Life (Youth)" has adapted the program for the youth context. The outcome of this program is to empower participants with knowledge, skills and attitudes to live powerful, spiritual, self-confident lives by making wise ethical decisions. By increasing the number of master trainers, and faith, community, youth and NGO leaders trained, the number of people reached will increase considerably. There will be a particular emphasis on the role of FBOs in reducing stigma, addressing gender issues and empowering youth and unmarried
people to make abstinence and "be faithful" choices, and for active couples to make "be faithful" choices that are based on values and supported by life skills. FY07 PEPFAR funding will be utilized to fund trainers, present workshops, develop training manuals and handbooks. The program will be reviewed and adapted based on lessons learned from the previous year of implementation. This program will in turn reduce stigma and discrimination on HIV and AIDS. The participants are identified in various faith based communities and they get nominated to attend the course. At the end of each course participants are given evaluation forms and assignments which they have to perform and bring after six months.
ACTIVITY 2: Community Outreach
Leaders trained will form action teams that will initiate the community mobilization activities. The value based prevention approach, incorporating "Choose Life" program, is used in activities which will include: raising awareness about HIV and AIDS in faith communities, workshops for community members and youth as well as activities like church services and catechism for children and youth. Apart from the "Choose Life" program implemented by CompreCare's prevention partner HospiVision, other prevention activities will be implemented using several modalities in cooperation with a NGO, Kurima, by means of the Know Your Neighborhood (KYN) program. Prevention communication will be implemented via a network of trained KYN community facilitators who spread the AB message within their designated areas at the grassroots level in target communities.
ACTIVITY 3: Mentoring and Implementation Support
Trained community, faith and youth leaders will receive ongoing support through trained mentors and during follow-up workshops. Mentors assist participants in the completion of assignments for certification as well as in the implementation of the program in their communities. This will significantly increase the numbers of people reached through continuous implementation by trained leaders. HospiVision will continue to train the KYN Facilitators and Child Care Workers from the OVC program in value based prevention as well as provide counseling and debriefing services on a regular basis. The mentoring and implementation support will form an essential part of a quality assurance and monitoring and evaluation program. Through the monitoring and evaluation process, the impact and effectiveness of the value based prevention approach will be assessed. FY 2007 PEPFAR funds will support mentors and mentor workshops.
ACTIVITY 4: Information, Education and Communication
Via the medium of Radio Pulpit, a national Christian radio station, and other community radio stations, a media program will emphasize the value based prevention approach, incorporating the messages of the "Choose life" program about AB lifestyle choices and life-skills based on value frameworks and value based behavior change principles. This will be done through interviews, discussion forums as well as discussions of questions sent in by the listeners. In addition, a handbook for the program called: "Choose life: A value based response to HIV and AIDS", is published on a yearly basis by the Powell Bible Centre. The Christian Literature Fund publishes a series of leaflets on the value based AB approach, targeting community members, pastors and leaders of FBOs.
CompreCare and its prevention partner, HospiVision, will contribute towards meeting the vision outlined in the USG Five-Year Strategy for South Africa (PEPFAR goal of 7 million infections averted) by improving AB preventive behaviors among the youth and adults and increasing effective CBO/FBO prevention activities.
INTEGRATED ACTIVITY FLAG: This activity is a part CompreCare's Coordinated HIV/AIDS Management Programs (CHAMPS) initiative in the City of Tshwane, Pretoria, South Africa and relates to CHAMPS AB Prevention program (#7561).
SUMMARY: CompreCare, through its partnership with Child Welfare Tshwane (CWT), will identify and provide a holistic package of services to orphans and vulnerable children and their families. Program activities include psychosocial, educational, economic and healthcare support for OVC as well as outreach and HIV prevention education. Primary target populations are OVC, their caregivers HIV and AIDS affected families, volunteers and community-based organizations. Although the program's primary emphasis is training, the program will also focus on needs assessment and the development of network/linkages/referral systems.
BACKGROUND: CompreCare is a South African non-governmental organization (NGO) implementing HIV and AIDS prevention and care activities under a multi-partner initiative called CHAMPS. The CHAMPS Initiative aims to reduce the impact of HIV and AIDS on OVC and their families in the Tshwane metropolitan area, specifically Mamelodi and Olievenhoutbosch, by raising awareness about HIV/AIDS preventative practices and through strengthening care and response networks for OVC.
In partnership with Child Welfare Tshwane, the largest service provider addressing the needs of OVC in the Tshwane metropolitan area, CompreCare recruits, trains and mentors caregivers and facilitates increased access to education and government services for OVC. To date, PEPFAR funding has enabled CompreCare to train 50 caregivers and serve 1250 children with care and support services. Child Welfare Tshwane is a member of the South African Government local Department of Social Development Forum. This forum to was created to strengthen linkages and networks between local government officials and NGO, CBO and FBO members in order to improve coordination between public and private service provider's programs. Child Welfare Tshwane has established a partnership with the Ford Motor Company which has donated a facility for their wellness center. The Wellness Center offers a range of services to OVC and their families including; psychosocial services, prevention education, nutritional counseling and support, and income generation activities.
ACTIVITIES AND EXPECTED RESULTS: CompreCare's OVC care and support program will focus on the early identification of infected and affected children and families and ensure that their basic needs (food, health care and education) are met. The program will conduct household needs assessments and link OVC and their caregivers to the appropriate government and community services. Trained community caregivers residing in the target areas enable CompreCare and its implementing partner to provide comprehensive and holistic care for OVC.
ACTIVITY 1: Training CompreCare, in collaboration with their implementing partner, Child Welfare Tshwane, will offer a standardized OVC training and service package/strategy to train and support volunteer community caregivers. The training is based on the Iso labantwana ("eye on the children") model that was originally developed by Child Welfare South Africa. Child Welfare Tshwane has adapted the model to address the needs of children infected and affected by HIV and AIDS and has a produced a manual for trained volunteers. The training is a 10 module course that emphasizes community-based approaches for the early identification and care and protection of vulnerable children. Caregivers are recruited from the communities, in which they reside and provided with training in the following; basic HIV and AIDS information, HIV prevention, accessing government social services, obtaining social grants, psychosocial support, referrals and nutrition counseling and support. CompreCare and Child Welfare Tshwane provide on site follow-up training and mentoring for all caregivers. In addition, Child Welfare provides group counseling sessions for caregivers to provide additional mentorship and support and to share best practices and lessons learned.
ACTIVITY 2: Care and Support Services
The program recruits volunteer caregivers from target communities to ensure that care and support services are readily available to OVC. As a result, the program, as a whole, benefits as the caregivers are often well-known and respected by community leaders. Caregivers are well positioned to easily access the services of other community groups and service providers including schools, churches, and community care forums. Each volunteer caregiver reports to and receives ongoing support from a Child Welfare Tshwane social worker. When a family is identified, the volunteer caregiver completes an initial assessment and develops a plan of action in collaboration with the social worker for each child and their family. The plan of action details the type of assistance required by the OVC which includes obtaining identity documents and government social grants, household budgeting, and distribution of food parcels and establishment of food gardens (made possible through public and private donations). Volunteer caregivers provide these services during weekly home visits. Additionally, volunteer caregivers provide educational and psychosocial support including school fee exemptions, homework supervision, care for ill parents/caregivers, succession planning and bereavement counseling for OVC and their family members. When circumstances exist that require advanced or intensive support, such as health related issues and child abuse, caregivers refer OVC to the appropriate service provider and follow-up to ensure that the relevant services are provided and that the continuum care continues for each child.
ACTIVITY 3: Community Wellness Center In addition to providing home-based support services, Child Welfare Tshwane also manages a community wellness center that provides care services, five days a week, for OVC and their families. The center operates a 9-month intensive therapeutic program that includes individual and group support sessions to provide information on HIV and AIDS and build coping skills for OVC and their ill caregivers. A full-time social worker and a cadre of community volunteers provide OVC with psychosocial support, referrals to social services and training on income generation activities including beading and gardening. The program also offers life skills training for OVC tailored to the specific needs of the child. Life skills courses are provided through after-school activities, school holiday programs and group play therapy.
ACTIVITY 4: Linkages CompreCare and its implementing partner, HospiVision, trains volunteer caregivers in value-based HIV prevention emphasizing abstinence and fidelity. The program focuses on six central spiritual values (respect, responsibility, integrity, fairness, love and service) and enhancing the life skills of: decision-making, assertiveness and negotiation. The training also addresses issues of stigma and discrimination and gender through role play. Skills learned in the program empower caregivers to further support OVC in with knowledge, skills and attitudes to make informed decisions about living healthy, productive lives.
CompreCare's OVC program activities will contribute towards PEPFAR's goals of providing 10 million people with care by improving the quality of life of OVC and infected and affected families.
